Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12268 | Date 24/10/2024 |
| Token No | SM/24-25/19454 24/10/2024 | Serial | 015 |
| Patient Name | Baby BASUNDHARA LAHIRI | Contact No | 8478051133 |
| Address | 51 DOSTI LANE | Age | 1 YEAR 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||